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Oral Implantoloogy

What is Oral Implantology?

Tooth loss is a severe problem that leads to poorer oral and general health. It can occur due to a variety of reasons, but the consequences are mostly the same:

  • Difficulty in chewing;
  • Diction problems;
  • Aging appearance;
  • Nutritional deficit;
  • Low self-esteem;
  • Among others.

Due to their resemblance to natural teeth, crowns, bridges, and fixed prosthesis have contributed to the popularity of dental implants, on which they are anchored. Furthermore, this solution gives patients back a fixed dentition, which allows them to recover their aesthetics, comfort, and functionality.

This can be achieved through Oral Implantology, an area of oral surgery which is a speciality of dentistry. Oral Implantology focuses specifically on oral rehabilitation by placing dental implants, which substitute the roots of natural teeth. Therefore, dental implants support crowns, bridges and fixed prosthesis, substantially improving patients’ well-being.

How do dental implants function?

A dental implant is a piece made of titanium or zirconium (ceramic) inserted into the jawbone. This allows the insertion of single crowns, bridges or total fixed prosthesis, restoring one or more missing teeth.

After the dental implant is placed in the bone structure, a perfectly healthy and stable biological union is established between the two – the so-called osseointegration process. The dental implant functions as an “artificial root”,  which is a foundation for placing one of the abovementioned solutions.

The stability of the connection to the jawbone allows dental implants to function in the long term. Therefore, dental implant rehabilitation restores a confident smile and transfers the chewing forces back to the jawbone. This is essential for boosting the bone’s health and maintaining the face’s shape.

The importance of 1 single tooth

The absence of a tooth – whether due to tooth loss or the need for extraction – can bring many consequences, such as:

  • Reduced chewing capacity;
  • Altered aesthetics;
  • Bone resorption;
  • Alteration in the positioning of other teeth;
  • Imbalance of occlusion.

Even if it is not a visible area when smiling, the lost tooth should always be replaced to avoid this type of consequence.

A missing tooth can be replaced by placing a unitary dental implant that supports the placement of a crown, perfectly imitating a natural tooth, both from a functional and aesthetic point of view.

After being placed in the bone, the dental implant takes around 2 to 3 months to osseointegrate, and the crown is placed after this period. In some cases, when the bone quality and quantity are ideal, it is possible to place the crown immediately.

One implant for each tooth? Not always!

Many patients think that carrying out oral rehabilitation in which you have several missing teeth is very complicated and expensive. This is because they understand that an implant must be placed for each missing tooth. But this is only sometimes true.

For example, if 3 or more teeth are missing in a row, 2 dental implants can be placed and a 3-tooth bridge fitted. Thus, the intermediate tooth is supported on the gum and by the adjacent dental implants.

And when facing a case of total or severe tooth loss, the solution is to place a fixed total prosthesis. In this case, 4 dental implants are placed per arch, to which the total fixed prosthesis will be attached. 

 

A treatment for almost everyone

Everyone can be a candidate for dental implants. However, there are several factors that must be taken into account.

To place dental implants, the gums must be healthy and there must be bone of sufficient quality and quantity to support them. If there is not enough bone available, there are several procedures that make it possible to increase bone volume and subsequently place dental implants.

 

Don’t be afraid of pain

The surgical procedures associated with treatment with dental implants are perfectly protocoled and, in most situations, there is no discomfort or pain whatsoever.

Generally, the procedure is carried out under the effect of local anesthesia, as is the case in most dental treatments.

Post-operatively there may be slight discomfort, a small amount of inflammation and edema in the area where the surgery was performed, which can be controlled with the use of medication.

Step by step of oral rehabilitation with dental implants

Some patients like to know precisely how the treatment they will undergo is carried out. For you to better understand how an Oral Implantology treatment works, we give you a step-by-step guide for this type of oral rehabilitation.

 

  1. Pre-surgical digital planning

The entire surgery can be planned in advance using digital models and radiographic examinations. A three-dimensional analysis of the case and the digital placement of the dental implants are carried out, anticipating what will happen on the day of the surgery.

 

  1. Surgery

The dental implants are placed under local anaesthetic and with the addition of conscious sedation. If necessary, depending on the complexity of the case, it is possible to perform the surgery under general anaesthesia.

 

  1. Postoperative period and follow-ups

Following surgery for placing dental implants, it is recommended that the patient takes appropriate medication for a post-operative period that is as comfortable and painless as possible. Post-operative recommendations are also provided, which include the application of ice and other primary care.

 

  1. Rehabilitation period

This phase includes all the procedures for producing the fixed prosthesis and may involve several appointments to achieve functional and aesthetic goals.

Depending on the clinical case, the provisional prosthesis may be placed on the day of the surgery.

The definitive rehabilitation occurs after 3 to 6 months, depending on the case’s complexity.

 

  1. Maintenance

The duration and progress of all the treatments carried out depend on the control and maintenance appointments. It is one of the most important stages of the treatment, carried out through daily care and regular oral hygiene appointments.

The Straumann® dental implants

Straumann® is a brand with a strong presence in the global dental market. Both due to its years of experience and the quality of the materials it produces, it is the choice of the Hugo Madeira Clinic for dental implants.

The diversity of the dental implant options allows the choice of the most suitable option for each case. And, in all of them, it offers safety and a guarantee of success in oral rehabilitation.

More about Materials

implantes dentários (filha)
vertical implantes dentários

The Laboratory, a key partner

As with all the services and treatments we provide in-house, the choice of our partners is also made meticulously and with the same high standards.

The dental laboratory with which we work has mastered both conventional and digital methods. The accuracy is always the highest in producing dental veneers, prosthesis on implants or any other element.

It is through the technology applied in the laboratory that the dentist is able to carry out the treatment, which is why we could only ally ourselves with a laboratory in which we have complete trust.

More about Laboratory